How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $120.23 Median $162.18 Typical High $239.88 | Facility | None | $120.23 | $162.18 | $239.88 |
Aetna Setting Professional Modifier None (both parts) Typical Low $177.83 Median $239.88 Typical High $275.42 | Professional | None (both parts) | $177.83 | $239.88 | $275.42 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $33.11 Typical High $38.02 | Professional | 26 · Professional part | $27.54 | $33.11 | $38.02 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $204.17 Typical High $363.08 | Professional | TC · Technical part | $158.49 | $204.17 | $363.08 |
Anthem BCBS Setting Facility Modifier None Typical Low $512.86 Median $616.60 Typical High $1,148.15 | Facility | None | $512.86 | $616.60 | $1,148.15 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $269.15 Median $389.05 Typical High $660.69 | Professional | None (both parts) | $269.15 | $389.05 | $660.69 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $53.70 Typical High $91.20 | Professional | 26 · Professional part | $36.31 | $53.70 | $91.20 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $338.84 Typical High $575.44 | Professional | TC · Technical part | $234.42 | $338.84 | $575.44 |
Cigna Setting Facility Modifier None Typical Low $117.49 Median $186.21 Typical High $1,621.81 | Facility | None | $117.49 | $186.21 | $1,621.81 |
Cigna Setting Professional Modifier None (both parts) Typical Low $204.17 Median $331.13 Typical High $524.81 | Professional | None (both parts) | $204.17 | $331.13 | $524.81 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $43.65 Typical High $69.18 | Professional | 26 · Professional part | $30.20 | $43.65 | $69.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $288.40 Typical High $467.74 | Professional | TC · Technical part | $173.78 | $288.40 | $467.74 |
Denver HMP Setting Facility Modifier None Typical Low $234.42 Median $302.00 Typical High $363.08 | Facility | None | $234.42 | $302.00 | $363.08 |
Denver HMP Setting Professional Modifier None (both parts) Typical Low $426.58 Median $426.58 Typical High $426.58 | Professional | None (both parts) | $426.58 | $426.58 | $426.58 |
Kaiser Permanente Setting Professional Modifier None Typical Low $218.78 Median $363.08 Typical High $478.63 | Professional | None | $218.78 | $363.08 | $478.63 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $51.29 Typical High $67.61 | Professional | 26 · Professional part | $30.20 | $51.29 | $67.61 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $316.23 Typical High $416.87 | Professional | TC · Technical part | $186.21 | $316.23 | $416.87 |
Select Health Setting Facility Modifier None Typical Low $229.09 Median $426.58 Typical High $478.63 | Facility | None | $229.09 | $426.58 | $478.63 |
Select Health Setting Professional Modifier None (both parts) Typical Low $162.18 Median $229.09 Typical High $316.23 | Professional | None (both parts) | $162.18 | $229.09 | $316.23 |
United Setting Facility Modifier None Typical Low $1,737.80 Median $1,819.70 Typical High $2,089.30 | Facility | None | $1,737.80 | $1,819.70 | $2,089.30 |
United Setting Professional Modifier None (both parts) Typical Low $194.98 Median $380.19 Typical High $575.44 | Professional | None (both parts) | $194.98 | $380.19 | $575.44 |
United Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $52.48 Typical High $81.28 | Professional | 26 · Professional part | $27.54 | $52.48 | $81.28 |
United Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $331.13 Typical High $478.63 | Professional | TC · Technical part | $169.82 | $331.13 | $478.63 |
3 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $93.33 Median $117.49 Typical High $138.04 | Professional | 52 · Reduced service | $93.33 | $117.49 | $138.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $37.15 Median $47.86 Typical High $54.95 | Professional | 53 · Discontinued | $37.15 | $47.86 | $54.95 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $165.96 Median $190.55 Typical High $223.87 | Professional | FX · Film X-ray | $165.96 | $190.55 | $223.87 |
Where Colorado sits
The same service costs 4.2 times more in Alaska than in Florida. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Colorado· 13th of 51
$363
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.